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Aortic Wall Thrombus and Stroke After Transfemoral TAVR

We present the case of a patient with significant aortic wall thrombus (AWT) who experienced a stroke after transfemoral TAVR. FLAIR MRI revealed an embolic shower. Pre‐ and postoperative computed… Click to show full abstract

We present the case of a patient with significant aortic wall thrombus (AWT) who experienced a stroke after transfemoral TAVR. FLAIR MRI revealed an embolic shower. Pre‐ and postoperative computed tomography showed dislodgment of the AWT located in the outer curvature of the aortic arch after TAVR. This case supports the hypothesis that AWT may cause stroke by being dislodged and carried upstream toward the carotid arteries.

Keywords: transfemoral tavr; aortic wall; stroke transfemoral; wall thrombus

Journal Title: Catheterization and Cardiovascular Interventions
Year Published: 2025

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